How much rates vary
Facilitymedian $468 · 10th to 90th $240 to $1,318Professionalmedian $155 · 10th to 90th $26 to $741
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $213.80 Median $630.96 Typical High $1,288.25 | Facility | None | $213.80 | $630.96 | $1,288.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $269.15 Typical High $1,513.56 | Facility | TC · Technical part | $154.88 | $269.15 | $1,513.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $213.80 Typical High $371.54 | Professional | None (both parts) | $173.78 | $213.80 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $81.28 | Professional | 26 · Professional part | $50.12 | $61.66 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $154.88 Typical High $263.03 | Professional | TC · Technical part | $125.89 | $154.88 | $263.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
BCBS Texas Setting Facility Modifier None Typical Low $245.47 Median $691.83 Typical High $1,412.54 | Facility | None | $245.47 | $691.83 | $1,412.54 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $70.79 Median $165.96 Typical High $269.15 | Professional | None (both parts) | $70.79 | $165.96 | $269.15 |
Christus Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $57.54 | Professional | 26 · Professional part | $56.23 | $56.23 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $512.86 Typical High $870.96 | Facility | None | $346.74 | $512.86 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $194.98 Typical High $501.19 | Professional | None (both parts) | $114.82 | $194.98 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $56.23 Typical High $107.15 | Professional | 26 · Professional part | $34.67 | $56.23 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $144.54 Typical High $389.05 | Professional | TC · Technical part | $79.43 | $144.54 | $389.05 |
Health Smart Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $446.68 | Facility | None | $426.58 | $426.58 | $446.68 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $371.54 Median $426.58 Typical High $457.09 | Professional | None (both parts) | $371.54 | $426.58 | $457.09 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,344.23 Median $2,398.83 Typical High $2,398.83 | Professional | None (both parts) | $2,344.23 | $2,398.83 | $2,398.83 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 26 · Professional part | $549.54 | $549.54 | $549.54 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | TC · Technical part | $2,041.74 | $2,041.74 | $2,041.74 |
Moda Health Setting Facility Modifier None Typical Low $213.80 Median $512.86 Typical High $3,548.13 | Facility | None | $213.80 | $512.86 | $3,548.13 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $251.19 Typical High $588.84 | Facility | TC · Technical part | $154.88 | $251.19 | $588.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $213.80 Typical High $398.11 | Professional | None (both parts) | $173.78 | $213.80 | $398.11 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $83.18 | Professional | 26 · Professional part | $50.12 | $61.66 | $83.18 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $154.88 Typical High $251.19 | Professional | TC · Technical part | $125.89 | $154.88 | $251.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $21.38 Median $117.49 Typical High $199.53 | Professional | None (both parts) | $21.38 | $117.49 | $199.53 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $61.66 Median $154.88 Typical High $363.08 | Professional | None (both parts) | $61.66 | $154.88 | $363.08 |
Providence Setting Facility Modifier None Typical Low $190.55 Median $426.58 Typical High $676.08 | Facility | None | $190.55 | $426.58 | $676.08 |
Providence Setting Professional Modifier None (both parts) Typical Low $114.82 Median $190.55 Typical High $467.74 | Professional | None (both parts) | $114.82 | $190.55 | $467.74 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $56.23 Typical High $97.72 | Professional | 26 · Professional part | $34.67 | $56.23 | $97.72 |
Providence Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $134.90 Typical High $323.59 | Professional | TC · Technical part | $79.43 | $134.90 | $323.59 |
United Setting Facility Modifier None Typical Low $263.03 Median $275.42 Typical High $363.08 | Facility | None | $263.03 | $275.42 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $275.42 Typical High $467.74 | Professional | None (both parts) | $186.21 | $275.42 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $109.65 | Professional | 26 · Professional part | $48.98 | $64.57 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $204.17 Typical High $354.81 | Professional | TC · Technical part | $134.90 | $204.17 | $354.81 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $58.88 | $58.88 | $58.88 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | TC · Technical part | $138.04 | $138.04 | $138.04 |
14 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $85.11 Median $134.90 Typical High $758.58 | Facility | 52 · Reduced service | $85.11 | $134.90 | $758.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.88 Median $53.70 Typical High $302.00 | Facility | 53 · Discontinued | $33.88 | $53.70 | $302.00 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $134.90 Median $213.80 Typical High $776.25 | Facility | CT · Older CT scanner | $134.90 | $213.80 | $776.25 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $125.89 Median $199.53 Typical High $741.31 | Facility | FX · Film X-ray | $125.89 | $199.53 | $741.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $107.15 Typical High $138.04 | Professional | 52 · Reduced service | $87.10 | $107.15 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $42.66 Typical High $54.95 | Professional | 53 · Discontinued | $34.67 | $42.66 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $147.91 Median $181.97 Typical High $234.42 | Professional | CT · Older CT scanner | $147.91 | $181.97 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $173.78 Typical High $218.78 | Professional | FX · Film X-ray | $141.25 | $173.78 | $218.78 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $79.43 Median $125.89 Typical High $295.12 | Facility | 52 · Reduced service | $79.43 | $125.89 | $295.12 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $50.12 Typical High $117.49 | Facility | 53 · Discontinued | $31.62 | $50.12 | $117.49 |
Moda Health Setting Facility Modifier CT · Older CT scanner Typical Low $134.90 Median $213.80 Typical High $812.83 | Facility | CT · Older CT scanner | $134.90 | $213.80 | $812.83 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $125.89 Median $199.53 Typical High $776.25 | Facility | FX · Film X-ray | $125.89 | $199.53 | $776.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $104.71 Typical High $138.04 | Professional | 52 · Reduced service | $87.10 | $104.71 | $138.04 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $41.69 Typical High $54.95 | Professional | 53 · Discontinued | $34.67 | $41.69 | $54.95 |
Where Texas sits
The same service costs 5.2 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Texas· 50th of 51
$166
AK $794UT $151
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.